Discussions By Condition: Leg conditions

insertional Achilles tendonitis

Posted In: Leg conditions 1 Replies
  • Posted By: jmacphee
  • June 17, 2009
  • 03:53 PM

For about 3 months, I have had heal pain. The first dr. told me to ice it and rest it; it got slightly better. After about 6 weeks, pain returned again so bad that I could barely walk, especially in the morning or after sitting. They X-rayed it and sent me to an othropedic dr. who diagnosed it as "insertional Achilles tendonitis." He put me in a cast and wanted me to wear it for 6 weeks. However, after 3 hot, stinky itchy weeks (with little or no relief from pain), I asked them to remove it. Now I am in a walking boot for at least another 3 weeks. They wouldn't prescribe anti-inflammatory meds. because I have high blood pressure.

I am starting to be pretty discouraged about this getting better. I have been told to avoid surgery at all costs. Any ideas for natural remedies or anything I haven't tried?

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  • If things do not improve under management with the orthopaedic doctor, it would be worth while discussing with him / her the potential for some physiotherapy treatment.Physiotherapy treatment can be very effective for Achilles tendonitis - but it requires a patient to be compliant with treatment, exercises and activity modification advice.Insertional Achilles tendonitis can be a difficult condition to treat (especially if it has been present for several months) and may often require a prolonged rehabilitation period associated with reduced activity and graduated exercises to improve flexibility and strength of the achilles tendon and calf muscles. In particular - an eccentric strengthening program for the achilles tendon may be required (several studies have demonstrated significant benefits of this type of exercise for patients with achilles tendonitis) - your physiotherapist can show you appropriate exercises. Sometimes orthotics may be required to correct foot abnormalities (especially if you have flat feet or high arches).Hope that helps and good luck,PhysioAdvisor
    PhysioAdvisor 93 Replies Flag this Response
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